2016-019 - Texas Capital Fund Program (TCF) Contract Number 725182, designating authorized signatories for contractual documentsRESOLUTION NO. 2016 -019
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS, TEXAS
DESIGNATING AUTHORIZED SIGNATORIES FOR CONTRACTUAL DOCUMENTS
AND DOCUMENTS FOR REQUESTING FUNDS RELATED TO THE TEXAS
CAPITAL FUND ( "TCF ") CONTRACT NUMBER 7215182.
WHEREAS, the City of Paris has received a Texas Capital Fund ( "TCF ") Grant award to
provide sidewalk and lighting improvements; and
WHEREAS, it is necessary to appoint persons to execute contractual documents and
documents requesting funds from the Texas Department of Agriculture; and
WHEREAS, an original signed copy of the Texas Community development Block Grant
( "TxCDBG ") Depository /Authorized Signatories Designation Form is to be submitted with a copy of
this Resolution; and
WHEREAS, the City of Paris, Texas acknowledges that in the event an authorized signatory
of the City changes, the City must provide TxCDBG with the following:
• A resolution stating who the new authorized signatory is; and
• A revised TxCDBG Depository /Authorized Signatories Designation Form, a copy of which is
attached hereto as Exhibit A and incorporated herein by reference.
NOW THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
PARIS, TEXAS THAT:
Section 1. The Mayor and the City Manager be authorized to execute contractual documents
between the Texas Department of Agriculture and the City of Paris for the Texas Capital Fund Grant
Program.
Section 2. The City Manager and the Finance Director be authorized to execute the State of
Texas Purchase Voucher and Request for Payment Form, a copy of which is attached hereto as Exhibit
B and incorporated herein by reference, which is required for requesting approved funds from the
Texas Capital Fund Grant Program.
PASSED AND APPROVED this 13th day of June, 2016.
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anice Ellis, City Clerk
APPROVED AS TO FORM:
e anie H. Harris, City Attorney
TEXAS COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM
DEPOSITORY /AUTHORIZED SIGNATORIES DESIGNATION FORM
Grant Recipient CITY OF PARIS TxCDBG Contract No. 7215182
The individuals listed below are designated by resolution as authorized signatories for contractual
documents.
A. J. HASHMI, M.D.
(Name)
MAYOR
Tale)
(Sign re)
(Name)
(Title)
(Signature)
JOHN GODWIN
(Name)
CITY MANAGER
(Title)
(Signature)
(Name)
(Title)
(Signature)
In addition to the individuals listed above, the individuals listed below are designated by resolution
as authorized signatories for the State of Texas Purchase Voucher (Form A204) and the Request
for Payment Form (Form A203).
JOHN GODWIN
(Name)
CITY MANAGER
(Title)
(Signature)
GENE ANDERSON
(Name)
FINANCE DIRECTOR
le)
ignature)
JANICE ELLIS
(Name)
CITY CLERK
(Title)
(Signature)
CARLA EASTON
(Name)
CITY ENGINEER
(T )
(Signature)
NOTE: A copy of a Resolution passed by the city council or county commiss'ioner's court
authorizing the signators must be submitted along with this form.
�t OF 9 C
H
P�TEXAS.
REQUEST FOR PAYMENT FORM A203
Grant Recipient:
Contract No.:
Request No: Region:
Note: All shaded field headers are interactive buttons that contain helpful information to complete this form.
Contract Period: From:
To:
Period Covered From:
by this Report:
To:
Activity Number
A
Budget
B
This Request
C
Total Drawn
D
Balance
(B -C -D)
%of Activity
Budget Drawn
Total Grant Funds:
Matching Funds:
Note: Submit supporting documentation for all costs in Column C, including costs paid through matching funds.
Total Grant Funds Requested To Date: Total Match Funds Expended To Date: percent match
funds to grant
0 funds expended
REMARKS: (if construction funds are drawn and $0 match is reported, provide explanation)
ALL EXPENDITURES RELATED TO THIS CONTRACT MUST BE CONSISTENT WITH THE UNIFORM GRANT AND CONTRACT
MANAGEMENT ACT, CHAPTER 783 OF THE TEXAS GOVERNMENT CODE, OFFICE OF MANAGEMENT AND BUDGET CIRCULAR 102,
AND CODE OF FEDERAL REGULATIONS TITLE 24 PART 85.
CERTIFICATION: By my signature below, I certify to the best of my knowledge and belief that:
• The data above is correct, payment is due, and the reported costs have not been previously drawn; and
• All activities requested for reimbursement or reported as matching funds are consistent with the TxCDBG contract,
Exhibit erformance Statement, and all disbursements were made in accordance with the terms of the contract.
N e Aut.e Certifying Official Title Signature ofAuthorized Certifying Official Date
Name of 2nd Authorized Certifying Official Title g a ure ofAuthorized Certifying Official Date
Form must be signed and dated by authorized signatories.
Revised form required as of October 21, 2013.
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TDA Program File Use Only
Specialist Approval: Date: